| NPI | 1003543190 |
|---|---|
| Doing Business As | DAVIDSON DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | LESLY S DAVIDSON Md/Owner 843-906-3980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2022-08-08 |
| Last Update Date | 2022-08-08 |